Krause Olaf, Picksak Gesine, Junius-Walker Ulrike
Dtsch Med Wochenschr. 2017 Jul;142(14):1046-1053. doi: 10.1055/s-0043-100125. Epub 2017 Jul 20.
Polypharmacy (≥ 5 drugs) is common among older people and may lead to falls, ADEs and delirium. Adherence is an important part in the medication management. Simple questions (i. e. for OTC, handling and omission of drugs) are effective. As most old people are treated by general practitioners (GP), they play a key role for drug safety and reducing polypharmacy. The involvement of pharmacists in analyzing one patient's drugs can enhance solutions for drug problems ("two-man rule"). An IT-based medication plan acts as an important communication tool for an enhanced team work between doctors, pharmacists and nursing care.
多重用药（≥5种药物）在老年人中很常见，可能导致跌倒、药物不良反应和谵妄。依从性是药物管理的重要组成部分。简单的问题（如关于非处方药、药物处理和漏服）很有效。由于大多数老年人由全科医生（GP）治疗，他们在药物安全和减少多重用药方面起着关键作用。药剂师参与分析单个患者的用药情况可以增强药物问题的解决方案（“双人规则”）。基于信息技术的用药计划是加强医生、药剂师和护理团队之间合作的重要沟通工具。
